Acute Pain related to Urinary Retention

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Nursing Care Plan for Urinary Retention

Urinary retention is a state of the buildup of urine in the bladder and does not have the ability to empty it completely.

The signs and symptoms or clinical manifestation of the disease are as follows:
  • Beginning with a slow flow of urine.
  • Then there was polyuria, which becomes worse because the longer the emptying of the bladder is not efficient.
  • Abdominal distention occurs due to dilatation of the bladder.
  • Feels no pressure, sometimes painful and feel like urinating.
  • In severe retention could reach 2000 -3000 cc.

Nursing Diagnosis : Acute Pain

Outcomes:
  • Stating the pain is relieved / controlled.
  • Shows relax, rest and increased activity appropriately.
Intervention
  • Assess pain, note the location, intensity of pain.
  • Plaster drainage hose on the thigh, and a catheter in the abdomen.
  • Maintain bed rest when indicated.
  • Provide comfort measures
  • Encourage use sitting soak, soapy to the perineum.
Rational
  • Provide information to assist in determining interventions.
  • Prevent erosion withdrawal bladder and penile-scrotal meeting.
  • Bed rest may be needed in the initial phase of acute retention.
  • Enhancing relaxation and coping mechanisms.
  • Improve muscle relaxation.

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